Steelwings Sunrise Nelspruit

Riders Information
First Name
Surname
Home Tel
Work Tel
Cel Number
Fax Number
Postal Address
Email Address
Occupation
Date of Birth (DD-MM-YY)
Medical Aid
Medical Aid Number
Allergies
Blood group
Harley Details
Model
Colour
Year
Registration
Pillion Information
First Name
Surname
Home Tel
Work Tel
Cel Number
Fax Number
Postal Address
Email Address
Occupation
Date of Birth (DD-MM-YY)
Medical Aid
Medical Aid Number
Allergies
Blood group
Emergency Contact
Partner Information
First Name
Surname
Home Tel
Work Tel
Cel Number
Fax Number
Postal Address
Email Address
Occupation
Date of Birth (DD-MM-YY)
Medical Aid
Medical Aid Number
Allergies
Blood group
Emergency Contact

Who introduced you to Steelwings?

Fee Structure

Riders - R650.00 per annum \| Pillions - R450.00 per annum \| Colours R200.00 \| Clubhouse Rent : R110/month





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